Individual
JOSE MAGALLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7293 DUMOSA AVE STE 2, YUCCA VALLEY, CA 92284-3700
(760) 365-2233
Mailing address
7293 DUMOSA AVE STE 2, YUCCA VALLEY, CA 92284-3700
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
288769
CA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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